Sarcopenia: A Time for Action. An SCWD Position Paper
Abstract The term sarcopenia was introduced in 1988. The original definition was a “muscle loss” of the appendicular muscle mass in the older people as measured by dual energy x‐ray absorptiometry (DXA). In 2010, the definition was altered to be low muscle mass together with low muscle function and...
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Format: | Article |
Language: | English |
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Wiley
2019-10-01
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Series: | Journal of Cachexia, Sarcopenia and Muscle |
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Online Access: | https://doi.org/10.1002/jcsm.12483 |
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doaj-62cadbfbbd06404488ffde701d802bc9 |
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record_format |
Article |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Juergen Bauer John E. Morley Annemie M.W.J. Schols Luigi Ferrucci Alfonso J. Cruz‐Jentoft Elsa Dent Vickie E. Baracos Jeffrey A. Crawford Wolfram Doehner Steven B. Heymsfield Aminah Jatoi Kamyar Kalantar‐Zadeh Mitja Lainscak Francesco Landi Alessandro Laviano Michelangelo Mancuso Maurizio Muscaritoli Carla M. Prado Florian Strasser Stephan vonHaehling Andrew J.S. Coats Stefan D. Anker |
spellingShingle |
Juergen Bauer John E. Morley Annemie M.W.J. Schols Luigi Ferrucci Alfonso J. Cruz‐Jentoft Elsa Dent Vickie E. Baracos Jeffrey A. Crawford Wolfram Doehner Steven B. Heymsfield Aminah Jatoi Kamyar Kalantar‐Zadeh Mitja Lainscak Francesco Landi Alessandro Laviano Michelangelo Mancuso Maurizio Muscaritoli Carla M. Prado Florian Strasser Stephan vonHaehling Andrew J.S. Coats Stefan D. Anker Sarcopenia: A Time for Action. An SCWD Position Paper Journal of Cachexia, Sarcopenia and Muscle Sarcopenia Cachexia Geriatric assessment Muscle Skeletal Muscle strength |
author_facet |
Juergen Bauer John E. Morley Annemie M.W.J. Schols Luigi Ferrucci Alfonso J. Cruz‐Jentoft Elsa Dent Vickie E. Baracos Jeffrey A. Crawford Wolfram Doehner Steven B. Heymsfield Aminah Jatoi Kamyar Kalantar‐Zadeh Mitja Lainscak Francesco Landi Alessandro Laviano Michelangelo Mancuso Maurizio Muscaritoli Carla M. Prado Florian Strasser Stephan vonHaehling Andrew J.S. Coats Stefan D. Anker |
author_sort |
Juergen Bauer |
title |
Sarcopenia: A Time for Action. An SCWD Position Paper |
title_short |
Sarcopenia: A Time for Action. An SCWD Position Paper |
title_full |
Sarcopenia: A Time for Action. An SCWD Position Paper |
title_fullStr |
Sarcopenia: A Time for Action. An SCWD Position Paper |
title_full_unstemmed |
Sarcopenia: A Time for Action. An SCWD Position Paper |
title_sort |
sarcopenia: a time for action. an scwd position paper |
publisher |
Wiley |
series |
Journal of Cachexia, Sarcopenia and Muscle |
issn |
2190-5991 2190-6009 |
publishDate |
2019-10-01 |
description |
Abstract The term sarcopenia was introduced in 1988. The original definition was a “muscle loss” of the appendicular muscle mass in the older people as measured by dual energy x‐ray absorptiometry (DXA). In 2010, the definition was altered to be low muscle mass together with low muscle function and this was agreed upon as reported in a number of consensus papers. The Society of Sarcopenia, Cachexia and Wasting Disorders supports the recommendations of more recent consensus conferences, i.e. that rapid screening, such as with the SARC‐F questionnaire, should be utilized with a formal diagnosis being made by measuring grip strength or chair stand together with DXA estimation of appendicular muscle mass (indexed for height2). Assessments of the utility of ultrasound and creatine dilution techniques are ongoing. Use of ultrasound may not be easily reproducible. Primary sarcopenia is aging associated (mediated) loss of muscle mass. Secondary sarcopenia (or disease‐related sarcopenia) has predominantly focused on loss of muscle mass without the emphasis on muscle function. Diseases that can cause muscle wasting (i.e. secondary sarcopenia) include malignant cancer, COPD, heart failure, and renal failure and others. Management of sarcopenia should consist of resistance exercise in combination with a protein intake of 1 to 1.5 g/kg/day. There is insufficient evidence that vitamin D and anabolic steroids are beneficial. These recommendations apply to both primary (age‐related) sarcopenia and secondary (disease related) sarcopenia. Secondary sarcopenia also needs appropriate treatment of the underlying disease. It is important that primary care health professionals become aware of and make the diagnosis of age‐related and disease‐related sarcopenia. It is important to address the risk factors for sarcopenia, particularly low physical activity and sedentary behavior in the general population, using a life‐long approach. There is a need for more clinical research into the appropriate measurement for muscle mass and the management of sarcopenia. Accordingly, this position statement provides recommendations on the management of sarcopenia and how to progress the knowledge and recognition of sarcopenia. |
topic |
Sarcopenia Cachexia Geriatric assessment Muscle Skeletal Muscle strength |
url |
https://doi.org/10.1002/jcsm.12483 |
work_keys_str_mv |
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1725836159197642752 |
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doaj-62cadbfbbd06404488ffde701d802bc92020-11-24T22:02:23ZengWileyJournal of Cachexia, Sarcopenia and Muscle2190-59912190-60092019-10-0110595696110.1002/jcsm.12483Sarcopenia: A Time for Action. An SCWD Position PaperJuergen Bauer0John E. Morley1Annemie M.W.J. Schols2Luigi Ferrucci3Alfonso J. Cruz‐Jentoft4Elsa Dent5Vickie E. Baracos6Jeffrey A. Crawford7Wolfram Doehner8Steven B. Heymsfield9Aminah Jatoi10Kamyar Kalantar‐Zadeh11Mitja Lainscak12Francesco Landi13Alessandro Laviano14Michelangelo Mancuso15Maurizio Muscaritoli16Carla M. Prado17Florian Strasser18Stephan vonHaehling19Andrew J.S. Coats20Stefan D. Anker21Center for Geriatric Medicine Heidelberg University Heidelberg GermanyDivision of Geriatric Medicine Saint Louis University School of Medicine St. Louis USADepartment of Respiratory Medicine, Research School NUTRIM Maastricht University Medical Center Maastricht The NetherlandsLongitudinal Studies Section, Translational Gerontology Branch, National Institute on Aging National Institutes of Health Baltimore MD USAServicio de Geriatría Hospital Universitario Ramón y Cajal (IRYCIS) Madrid SpainTorrens University Australia Adelaide AustraliaDivision of Palliative Care Medicine, Department of Oncology University of Alberta Edmonton AB CanadaDuke Cancer Institute Duke University Durham NC USABIH Center for Regenerative Therapies (BCRT) Charité Uinversitätsmedizin Berlin Berlin GermanyPennington Biomedical Research Center LSU System Baton Rouge LA USADepartment of Oncology Mayo Clinic Rochester MN USADivision of Nephrology and Hypertension University of California Irvine Medical Center Orange CA USADivision of Cardiology General Hospital Murska Sobota Murska Sobota SloveniaInstitute of Internal Medicine and Geriatrics Università Cattolica del Sacro Cuore Rome ItalyDepartment of Translational and Precision Medicine Sapienza University Rome ItalyDepartment of Clinical and Experimental Medicine, Neurological Institute University of Pisa Pisa ItalyDepartment of Translational and Precision Medicine Sapienza University Rome ItalyHuman Nutrition Research Unit, Department of Agricultural, Food and Nutritional Science University of Alberta Edmonton AB CanadaDepartment of Medical Oncology and Hematology Cantonal Hospital St. Gallen SwitzerlandDepartment of Cardiology and Pneumology University Medicine Goettingen (UMG) Goettingen GermanyDepartment of Cardiology IRCCS San Raffaele Pisana Rome ItalyBIH Center for Regenerative Therapies (BCRT) Charité Uinversitätsmedizin Berlin Berlin GermanyAbstract The term sarcopenia was introduced in 1988. The original definition was a “muscle loss” of the appendicular muscle mass in the older people as measured by dual energy x‐ray absorptiometry (DXA). In 2010, the definition was altered to be low muscle mass together with low muscle function and this was agreed upon as reported in a number of consensus papers. The Society of Sarcopenia, Cachexia and Wasting Disorders supports the recommendations of more recent consensus conferences, i.e. that rapid screening, such as with the SARC‐F questionnaire, should be utilized with a formal diagnosis being made by measuring grip strength or chair stand together with DXA estimation of appendicular muscle mass (indexed for height2). Assessments of the utility of ultrasound and creatine dilution techniques are ongoing. Use of ultrasound may not be easily reproducible. Primary sarcopenia is aging associated (mediated) loss of muscle mass. Secondary sarcopenia (or disease‐related sarcopenia) has predominantly focused on loss of muscle mass without the emphasis on muscle function. Diseases that can cause muscle wasting (i.e. secondary sarcopenia) include malignant cancer, COPD, heart failure, and renal failure and others. Management of sarcopenia should consist of resistance exercise in combination with a protein intake of 1 to 1.5 g/kg/day. There is insufficient evidence that vitamin D and anabolic steroids are beneficial. These recommendations apply to both primary (age‐related) sarcopenia and secondary (disease related) sarcopenia. Secondary sarcopenia also needs appropriate treatment of the underlying disease. It is important that primary care health professionals become aware of and make the diagnosis of age‐related and disease‐related sarcopenia. It is important to address the risk factors for sarcopenia, particularly low physical activity and sedentary behavior in the general population, using a life‐long approach. There is a need for more clinical research into the appropriate measurement for muscle mass and the management of sarcopenia. Accordingly, this position statement provides recommendations on the management of sarcopenia and how to progress the knowledge and recognition of sarcopenia.https://doi.org/10.1002/jcsm.12483SarcopeniaCachexiaGeriatric assessmentMuscleSkeletalMuscle strength |